| Ethan T Phan, MD | |
|
3000 Q St Fl 3, Sacramento, CA 95816-7058 | |
| (916) 733-3400 | |
| (916) 733-5940 |
| Full Name | Ethan T Phan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 10 Years |
| Location | 3000 Q St Fl 3, Sacramento, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083076947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | A170167 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sierra Nevada Memorial Hospital | Grass valley, CA | Hospital |
| Mercy General Hospital | Sacramento, CA | Hospital |
| Methodist Hospital Of Sacramento | Sacramento, CA | Hospital |
| Woodland Memorial Hospital | Woodland, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dignity Health Medical Foundation | 7810800661 | 1170 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan T Phan, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Ethan T Phan, MD 3000 Q St Fl 3, Sacramento, CA 95816-7058 Ph: (916) 733-3400 |
Manish Thakor Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Jason Yushin Kim, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 | |
Tram M Dao, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4159 V Street, Sacramento, CA 95817 Phone: 916-734-2011 | |
Dharmendrakumar V. Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Chuenfu Lin, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4150 V St Ste 3400, Sacramento, CA 95817 Phone: 916-734-7587 | |
Dr. Michael Thomas Macellari, DO, CSCS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3000 Q St Fl 3, Sacramento, CA 95816 Phone: 916-733-3400 Fax: 916-733-5384 | |
Andrew J. Pollock, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 |